Bcbs new exam - Study guides, Class notes & Summaries
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CPB Final Exam Questions With 100% Correct Answers.
- Exam (elaborations) • 6 pages • 2023
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EPO - ...provides benefits to subscribers who are required to receive services from network 
providers 
IDS - ...organizations of affiliated providers sites that offer joint healthcare services to subscribers 
HMO - ...providers comprehensive healthcare services to voluntarily enrolled members on a 
prepaid basis 
POS - ...patients can use the managed care panel of providers (paying discounted healthcare cost) 
or self-refer to out-of-network providers (and pay higher cost) 
PPO - ...contracted ...
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NHA CBCS Certification Practice Exam A Questions with Complete Solutions
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NHA CBCS Certification Practice Exam A Questions with Complete Solutions 
 
Which of the following is considered the final determination of the issues involving the settlement of an insurance claim? - ANS: Adjudication - is the process of putting an insurance claim through a series of edits for final determination. 
Chapter 4 
 
A form that contains charges, DOS, CPT codes, fees, and copayment information is called which of the following? - ANS: Encounter form is a form that contains charges, D...
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GBA 1 - Study Guide Questions and Answers Rated A+
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GBA 1 - Study Guide Questions and Answers Rated A+ What was the purpose of the Health Maintenance Organization Act of 1973? The health maintenance organization action of 1973 provided federal initiatives - consisted of federal grants and loans to organizations wishing to investigate the feasibility of "federally qualified HMO" 
How did the passage of the Health Maintenance Organization Act of 1973 affect the growth of HMOs? The government began to withdraw its funding during the Reagan adminis...
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BCBS NE 2022 Exam Questions with Correct Answer
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BCBS NE 2022 Exam Questions with 
Correct Answer 
 
How many counties are in the Blue Cross Blue Shield of Nebraska HMO and PPO plans 
service area for 2022? 
A. 76 
B. 68 
c. 42 
D. 82 - Answer-A 
What tiers of drugs will your client have to pay a deductible before they are covered 
under the Part D benefit included with the 
Blue Cross and Blue Shield of Nebraska's Medicare Advantage plans? 
A. Tiers 1, 2, 
B. Tiers 1 & 2 
C. Tiers 3 
D. None of the above. - Answer-C 
The nurse line offers? 
...
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BCBS NE 2022 Exam Questions with Correct Answer
- Exam (elaborations) • 5 pages • 2024
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BCBS NE 2022 Exam Questions with 
Correct Answer 
 
How many counties are in the Blue Cross Blue Shield of Nebraska HMO and PPO plans 
service area for 2022? 
A. 76 
B. 68 
c. 42 
D. 82 - Answer-A 
What tiers of drugs will your client have to pay a deductible before they are covered 
under the Part D benefit included with the 
Blue Cross and Blue Shield of Nebraska's Medicare Advantage plans? 
A. Tiers 1, 2, 
B. Tiers 1 & 2 
C. Tiers 3 
D. None of the above. - Answer-C 
The nurse line offers? 
...
And that's how you make extra money
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NCCT Review | Medical Insurance Exam 2023 Questions and Answers
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Place the options below in order of claim submission, where all insurances are relevant. 
Humana 
ABC Auto 
Medicaid 
Medicare - Answer- ABC Auto 
Humana 
Medicare 
Medicaid 
It is highly unlikely that a patient would have all four of these insurances. However, if they do, the order in which the claims are submitted is relevant. It is assumed that since there is auto insurance involved, that this claim has to do with an automobile accident. The auto insurance should be filed first. Humana, a pri...
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EPIC TRAINING Exam Questions With Correct Answers
- Exam (elaborations) • 5 pages • 2023
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EPIC TRAINING Exam Questions With Correct Answers 
What is the NPI Number? - CORRECT ANSWER 3 
 
Where do you find a patient? - CORRECT ANSWER Account Maintenance 
 
What is the TAX ID - CORRECT ANSWER 
 
What is the surcharge for New York? - CORRECT ANSWER 9.63% 
 
What is New York's domestic payer for BCBS? - CORRECT ANSWER Excellus 
 
What does DOR stand for? - CORRECT ANSWER Designation of an authorized representative 
 
Do Guarantor records hold ...
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EPIC TRAINING Exam Questions With Correct Answers
- Exam (elaborations) • 5 pages • 2023
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EPIC TRAINING Exam Questions With Correct Answers 
What is the NPI Number? - CORRECT ANSWER 3 
 
Where do you find a patient? - CORRECT ANSWER Account Maintenance 
 
What is the TAX ID - CORRECT ANSWER 
 
What is the surcharge for New York? - CORRECT ANSWER 9.63% 
 
What is New York's domestic payer for BCBS? - CORRECT ANSWER Excellus 
 
What does DOR stand for? - CORRECT ANSWER Designation of an authorized representative 
 
Do Guarantor records hold ...
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BCBS NE 2022 Exam Questions with Correct Answer
- Exam (elaborations) • 5 pages • 2024
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BCBS NE 2022 Exam Questions with 
Correct Answer 
 
How many counties are in the Blue Cross Blue Shield of Nebraska HMO and PPO plans 
service area for 2022? 
A. 76 
B. 68 
c. 42 
D. 82 - Answer-A 
What tiers of drugs will your client have to pay a deductible before they are covered 
under the Part D benefit included with the 
Blue Cross and Blue Shield of Nebraska's Medicare Advantage plans? 
A. Tiers 1, 2, 
B. Tiers 1 & 2 
C. Tiers 3 
D. None of the above. - Answer-C 
The nurse line offers? 
...
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EPIC TRAINING EXAM QUESTIONS WITH CORRECT ANSWERS
- Exam (elaborations) • 5 pages • 2023
-
Available in package deal
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- $7.99
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EPIC TRAINING EXAM QUESTIONS WITH CORRECT ANSWERS 
 
What is the NPI Number? - CORRECT ANSWERS 3 
 
Where do you find a patient? - CORRECT ANSWERS Account Maintenance 
 
What is the TAX ID - CORRECT ANSWERS 
 
What is the surcharge for New York? - CORRECT ANSWERS 9.63% 
 
What is New York's domestic payer for BCBS? - CORRECT ANSWERS Excellus 
 
What does DOR stand for? - CORRECT ANSWERS Designation of an authorized ...
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